Patients with Chronic Obstructive Pulmonary Disease(COPD)often experience difficulty breathing,decreased exercise tolerance and respiratory function as the disease progresses.Pulmonary rehabilitation training can impr...Patients with Chronic Obstructive Pulmonary Disease(COPD)often experience difficulty breathing,decreased exercise tolerance and respiratory function as the disease progresses.Pulmonary rehabilitation training can improve respiratory symptoms,increase exercise tolerance and quality of life through exercise stimulation.However,after the end of pulmonary rehabilitation training,the patient's movement behavior is not easy to maintain.Cognitive behavioral therapy(CBT)can effectively enhance cognition,strengthen the motivation of"regular motor behavior",and maintain motor behavior,which can be used as a maintenance strategy for pulmonary rehabilitation training.Objective:To study the effect of cognitive behavioral therapy on the rehabilitation effect and the changing stage of"regular motor behavior"in COPD patients.Methods:30 patients consulted in the Rehabilitation Department of the Third Veterans Hospital of Sichuan Province were interviewed by telephone,and the exercise status and rehabilitation status were recorded and analyzed.From 30 patients,severe and extremely severe(GOLD grade III-IV)in motivation period of"regular exercise behavior"(not starting regular exercise but had exercise thoughts)were randomly divided into two groups.Pulmonary rehabilitation group(CBT-PR group,n=15)conducted one-to-one CBT intervention for 30-40 minutes to discuss the reasons for regular exercise and teach exercise precautions and principles using exercise education form;conventional pulmonary rehabilitation group(conventional PR group,n=15)conducted intensive pulmonary rehabilitation education without consultation and discussion.Both groups underwent 4 weeks of outpatient rehabilitation training,And the regular exercise ability was detected in the first and third months after training(6-Minutes Walking Distance,6-WMD;Short Physical Performance Battery,SPPB),(International Physical Activity Questionnaire,IPAQ),(St.George's Respiratory Scale,St.George's Respiratory Questionnaire,SGRQ),change.展开更多
文摘Patients with Chronic Obstructive Pulmonary Disease(COPD)often experience difficulty breathing,decreased exercise tolerance and respiratory function as the disease progresses.Pulmonary rehabilitation training can improve respiratory symptoms,increase exercise tolerance and quality of life through exercise stimulation.However,after the end of pulmonary rehabilitation training,the patient's movement behavior is not easy to maintain.Cognitive behavioral therapy(CBT)can effectively enhance cognition,strengthen the motivation of"regular motor behavior",and maintain motor behavior,which can be used as a maintenance strategy for pulmonary rehabilitation training.Objective:To study the effect of cognitive behavioral therapy on the rehabilitation effect and the changing stage of"regular motor behavior"in COPD patients.Methods:30 patients consulted in the Rehabilitation Department of the Third Veterans Hospital of Sichuan Province were interviewed by telephone,and the exercise status and rehabilitation status were recorded and analyzed.From 30 patients,severe and extremely severe(GOLD grade III-IV)in motivation period of"regular exercise behavior"(not starting regular exercise but had exercise thoughts)were randomly divided into two groups.Pulmonary rehabilitation group(CBT-PR group,n=15)conducted one-to-one CBT intervention for 30-40 minutes to discuss the reasons for regular exercise and teach exercise precautions and principles using exercise education form;conventional pulmonary rehabilitation group(conventional PR group,n=15)conducted intensive pulmonary rehabilitation education without consultation and discussion.Both groups underwent 4 weeks of outpatient rehabilitation training,And the regular exercise ability was detected in the first and third months after training(6-Minutes Walking Distance,6-WMD;Short Physical Performance Battery,SPPB),(International Physical Activity Questionnaire,IPAQ),(St.George's Respiratory Scale,St.George's Respiratory Questionnaire,SGRQ),change.
